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See a sample rate comparisonHCPCS J1100 (Dexamethasone Sodium Phosphate) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, dexamethasone sodium phosphate, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1100 |
| Medicare Payment Limit | $0.094  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00641-0367-21 - DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/ML • 00641-0367-25 - DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/1 ML • 00641-6145-25 - DEXAMETHASONE SODIUM PHOSPHATE 4 MG/1 ML • 00641-6146-10 - DEXAMETHASONE SODIUM PHOSPHATE (LATEX-FREE) 4 MG/1 ML • 25021-0052-01 - DEXAMETHASONE SODIUM PHOSPHATE MDV 4 MG/1 ML |
National average reimbursement for HCPCS J1100 by major payers:
$0.11
$0.13
$0.21
$0.12
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HCPCS J1100
5 of 25 sample ratesHigher to lower in this preview
Derek Dawes
Martin White Et Al Ptr Medical Clinic Of Houston
$0.58Published rateOziel Garza De La Garza
Family Healthcare Network
$0.13Published rateCalvin Rushing
Jeff Zhao Do PA
$0.13Published rateInfectious Diseases Consultants Of Northwest Houston PLLC
$0.12Published rateGary L Gilcrease Md, PA
Gary L Gilcrease Md PA
$0.08Published rate
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See a sample payer proposalHCPCS J1100 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1100 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J1100 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00641-0367-21-NDC | Moderate | DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/ML |
| 00641-0367-25-NDC | Moderate | DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/1 ML |
| 00641-6145-25-NDC | Moderate | DEXAMETHASONE SODIUM PHOSPHATE 4 MG/1 ML |
| J1100-HCPCS | Low | Injection, dexamethasone sodium phosphate, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1100 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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